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<br />OQICRADO DEPAK1MNNr C&' HFIILTH <br />Water Quality (ontrol Division <br />t,A6. . <br />FROM {YA'1~R QUALITY DATA Sfit~P <br />r`Iy$~l~RCEr:?::.T .L~Uiv:1rJ1{Lwl FACT' SH1:t:I' <br />1. <br />3. <br />5. <br />Name of Eatity:_ <br />Date of Contact: <br />Person contacted <br />6. Phone No. where he can be reached: 714-4,7.2-4~ <br />8. Date of Scheduled Sampling: I -~.1( -~i"7 <br />9. Does Representative of Entity Wish to be Present <br />10. If so, what is his :iar~e, titI~ ..... _ :... ,:: i~•:r' <br />il. Do they wish to split sarrq~les? Ye S <br />12. If so, will they provide container?~ <br />13. What arrangenents have been made to meet <br />facilities: <br />ve <br />Permit ~: al_ gS 1(~ <br />Time of Contact: pY3 p <br />entrance to <br />14. Parameters to be monitored: BOD Suspended Solids D. pH <br />Fecal Qolifoim Tenperatin'e Turbidity Chlorine ideal <br />Oil & Grease QIHEIi.S (list): -rrxrn~r ~GY4N-TJgy CAA Ko STrt <br />]5. Type of sample (grab or caoposite, <br />16. <br />ca' <br />17. Persons present during sampling (names & titles): <br />~AA7 l2.af3Pe2't`l~~.t Mr~.re. l'~A'I~SA~-f'~~lZ <br />4- <br />i <br />~ .. 18. Was sample split? ~: <br />~ 19. Who zeceived ea' denied split (name & title)? LIAtJ B~eeLY" f-ttnTY. h~LARTAC,~~ <br />20. <br />uFZteuue• <br />~. <br />_, r Hau it <br />Note: If laborator anal sis f h <br />Quality Control Act." these results may be used_ in the future_..for enforcement actions., <br />